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Intelligent Transportation Systems
Bureau of Mobility & Systems Engineering

Fiber Optic Markout Request Form


Please check Fiber Optic Cable Conduit database for Fiber Optic Installations before making a markout request. If Fiber Optic Installations exist in your work area, you must complete this request form. Please submit a minimum 10 State business days prior to commencement of work. For requests that exceed one mile in length provide for an additional two days time for each additional mile of markout requested. The requestor will be notified when the markouts have been completed. The requestor is responsible for providing safety setup when required and requested by the markout crew, and for maintaining the mark outs until work is completed.

Date:            Time:     

Person Making Request

Name:
Company:
Address:
City:
State:
Zip:
Phone #:
FAX #:
Email:

Work Location

Route County
(Please enter miles to the nearest 0.1 miles)
(For additional milepost information see Straight Line Diagrams)
Start Milepost End Milepost
Intersection or interchange
nearest Start Milepost
Intersection or interchange
nearest End Milepost
Start Date Completion Date
Description of Work
(Direction, which lane, type of work, etc.)

Company Performing Work Check if same as Requestor above

Company Name:
Contact Person:
Phone #:
FAX #:
Pager #:
Cellular #:
Company Email:
Any questions please call
  • TOC-North 732.697.7360 (Hunterdon, Somerset, Middlesex
       & northwards)
  • TOC-South 856.486.6650 (Mercer, Monmouth & southwards)
  • clear form
     
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      Trenton, NJ 08625-0600
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      Last Updated:  October 11, 2013